Mia Bush, THERAPIST | |
8704 Nw 106th St, Oklahoma City, OK 73162-1210 | |
(318) 237-5066 | |
(405) 328-6887 |
Full Name | Mia Bush |
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Gender | Female |
Speciality | Counselor |
Location | 8704 Nw 106th St, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568703577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 17796 (North Carolina) | Secondary |
101Y00000X | Counselor | 5196 (Oklahoma) | Primary |
Entity Name | Brightside Medical Of Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230911000972 |
Mailing Address | Practice Location Address |
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Mia Bush, THERAPIST 8704 Nw 106th St, Oklahoma City, OK 73162-1210 Ph: (318) 237-5066 | Mia Bush, THERAPIST 8704 Nw 106th St, Oklahoma City, OK 73162-1210 Ph: (318) 237-5066 |
Shannon Wattie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 United Founders Blvd Ste 239, Oklahoma City, OK 73112 Phone: 405-840-7040 | |
Ms. Judy L. Lindstrom, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 N Hudson Ave, Oklahoma City, OK 73103 Phone: 405-272-0660 | |
Carrolyn H Salvatierra, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 N Hudson Ave, Room 216, Oklahoma City, OK 73103 Phone: 405-272-0660 Fax: 405-272-1596 | |
Valerie Denise Mosley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4400 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-425-0341 Fax: 405-425-0313 | |
Mrs. Catherine Blakely Turpin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6801 S Western Ave Ste 203, Oklahoma City, OK 73139 Phone: 405-601-5616 | |
Cheryl Ann Coy, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3625 Eastman Dr, Oklahoma City, OK 73112 Phone: 405-948-0345 | |
Tiffany Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Nw 10th St, Oklahoma City, OK 73106 Phone: 405-528-4673 Fax: 405-528-4674 |